Applicability of Gillet test: a scoping review

Authors

DOI:

https://doi.org/10.33233/fb.v24i4.5219

Keywords:

sacroiliac joint, musculoskeletal manipulations, motion perception, biomechanical phenomena

Abstract

Introduction: Tools for assessing joint mobility are important to help manual therapists to be more assertive in their clinical behavior. Gillet's test is a tool routinely used by professionals and its usefulness is still a matter of debate. The aim of this work was to investigate the types of scientific evidence on the Gillet’s test and analyze the gaps in the literature. A search was performed in the Medline/Pubmed, PEDro and Scielo databases. There were no restrictions regarding the type of study or sample characteristics. In each study, data were analyzed: study design, objectives, target population, treatment performed, results found, study conclusion, purpose, and health conditions. After screening, 22 studies were selected, the majority with the diagnostic accuracy study design followed by observational studies, quasi-experimental studies, randomized controlled studies, systematic review with meta-analysis of diagnostic accuracy studies and diagnostic scale validation study, respectively. According to the purpose of the study, the highest quantitative found were from studies on the reliability of the Gillet test, followed by studies in which the Gillet’s test was used as an outcome measurement tool, a literature review study with meta-analysis, and a study in that the Gillet’s test was used, among other tests, to compose the validation of a diagnostic scale. As a characteristic of the study samples, mostly healthy participants were found, followed by individuals with chronic low back pain, sacroiliac dysfunction, stress urinary incontinence, amputees, pregnant and participants with sacroiliac pain. The Gillet’s test has low inter-examiner reliability and should not be considered for use in scientific studies as a tool to measure the movement outcome. Its clinical utility is debatable and, therefore, its use must be consistent with the professional's experience and accompanied by other reliable tests.

Author Biographies

Frederico de Oliveira Meirelles, Estácio de Sá

Doutorando em Saúde da Família (UNESA), Mestre em Ciências do Exercício e do Esporte - UERJ, Docente da Graduação e Pós-graduação da Universidade Estácio de Sá e da Pós-graduação do Centro Universitário Celso Lisboa, Rio de Janeiro, Brasil

Flávia Mazzoli-Rocha, UFRJ

Doutora e Mestre em Ciências Biológicas (Fisiologia) pela Universidade Federal do Rio de Janeiro Pesquisadora em Saúde Pública, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil

References

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018;391(10137):2356-67. doi: 10.1016/s0140-6736(18)30480-x

Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. 1995;20(1):31-7. doi: 10.1097/00007632-199501000-00007

Foley BS, Buschbacher RM. Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment. Am J Phys Med Rehabil. 2006;85(12):997-1006. doi: 10.1097/01.phm.0000297442.78134.fe

Ribeiro RP, Guerrero FG, Camargo EN, Beraldo LM, Candotti CT. Validity and Reliability of Palpatory Clinical Tests of Sacroiliac Joint Mobility: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther. 2021;44(4):307-18. doi: 10.1016/j.jmpt.2021.01.001

Aufdemkampe G. Intraexaminer and interexaminer reliability of the Gillet test. J Manipulative Physiol Ther. 1999;22(1):4-9. doi: 10.1016/s0161-4754(99)70098-9

Sturesson B, Uden A, Vleeming A. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Spine. 2000;25(3):364-8. doi: 10.1097/00007632-200002010-00018

Meijne W, van Neerbos K, Aufdemkampe G, van der Wurff P. Intraexaminer and interexaminer reliability of the Gillet test. J Manipulative Physiol Ther. 1999;22(1):4-9. doi: 10.1016/s0161-4754(99)70098-9

van der Wurff P, Hagmeijer RHM, Meyne W. Clinical tests of the sacroiliac joint: A systematic methodological review. Part 1: Reliability. Man Ther. 2000;5(1):30-6. doi: 10.1054/math.1999.0228

Šimundić A-M. Measures of diagnostic accuracy: basic definitions. Ejifcc [Internet]. 2009 [citado 2021 jun 12];19(4):203. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975285/

Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma G. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine. 2009;6(7):e1000097. doi: 10.1371/journal.pmed.1000097

Acevedo González JC, Quintero Oliveros S. [Diagnostic test scale SI5: Assessment of sacroiliac joint dysfunction]. Neurocirugia (Astur). 2015;26(6):268-75. doi: 10.1016/j.neucir.2015.01.004

Allah NHN, Sigward SM, Mohamed GA, Elhafez SM, Emran IM. Effect of repeated application of rigid tape on pain and mobility deficits associated with sacroiliac joint dysfunction. J Back Musculoskelet Rehabil. 2019;32(3):487-96. doi: 10.3233/bmr-181156

Arab AM, Abdollahi I, Joghataei MT, Golafshani Z, Kazemnejad A. Inter-and intra-examiner reliability of single and composites of selected motion palpation and pain provocation tests for sacroiliac joint. Man Ther. 2009;14(2):213-21. doi: 10.1016/j.math.2008.02.004

Arcanjo GN, Mendes MR, Cavalcante AdA, Lima POdP, Vilaça-Alves J. Concordância inter-avaliador de testes musculoesqueléticos e viscerais para avaliar a região pélvica em mulheres com incontinência urinária de esforço. Motricidade. 2020;16(3):155-64. doi: 10.6063/motricidade.19014

Åström M, Gummesson C. Assessment of asymmetry in pelvic motion–An inter-and intra-examiner reliability study. Eur J Phys. 2014;16(2):76-81. doi: 10.3109/21679169.2014.884162

Aytar A, Pekyavas NO, Ergun N, Karatas M. Is there a relationship between core stability, balance and strength in amputee soccer players? A pilot study. Prosthet Orthot Int. 2012;36(3):332-8. doi: 10.1177/0309364612445836

Carmichael JP. Inter- and intra-examiner reliability of palpation for sacroiliac joint dysfunction. J Manipulative Physiol Ther. 1987;10(4):164-71. https://europepmc.org/article/med/3655566

Cooperstein R, Truong F. Does the Gillet test assess sacroiliac motion or asymmetric one-legged stance strategies? J Can Chiropr Assoc [Internet]. 2018;62(2):85-97. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6173222/

Cooperstein R, Blum C, Cooperstein EC. Assessment of consistency between the arm-fossa test and gillet test: a pilot study. J Chiropr Med. 2015;14(1):24-31. doi: 10.1016/j.jcm.2014.12.006

Dreyfuss P, Dryer S, Griffin J, Hoffman J, Walsh N. Positive sacroiliac screening tests in asymptomatic adults. Spine (Phila Pa 1976). 1994;19(10):1138-43. doi: 10.1097/00007632-199405001-00007

García-Peñalver UJ, Palop-Montoro MV, Manzano-Sánchez D. Effectiveness of the muscle energy technique versus osteopathic manipulation in the treatment of sacroiliac joint dysfunction in athletes. Int J Environ Res Public Health. 2020;17(12). doi: 10.3390/ijerph17124490

Herzog W, Read L, Conway P, Shaw L, McEwen M. Reliability of motion palpation procedures to detect sacroiliac joint fixations. J Man Phys Ther [Internet]. 1989[citado 2020 jan 12];12(2):86-92. Disponível em: https://europepmc.org/article/med/2715742

Javadov A, Ketenci A, Aksoy C. The efficiency of manual therapy and sacroiliac and lumbar exercises in patients with sacroiliac joint dysfunction syndrome. Pain Physician. 2021;24(3):223-33. doi: 10.36076/ppj.2021/24/223

Levangie PK. Four clinical tests of sacroiliac joint dysfunction: the association of test results with innominate torsion among patients with and without low back pain. Phys Ther. 1999;79(11):1043-57. doi: 10.1093/ptj/79.11.1043

Posłuszny MO, Waszak MM. The influence of sacroiliac joint manipulation on changes in the values of the center of pressure in the process of maintaining static body balance. J Manipulative Physiol Ther. 2021. doi: 10.1016/j.jmpt.2021.05.003

Potter NA, Rothstein JM. Intertester reliability for selected clinical tests of the sacroiliac joint. Phys Ther. 1985;65(11):1671-5. doi: 10.1093/ptj/65.11.1671

Sipko T, Grygier D, Barczyk K, Eliasz G. The occurrence of strain symptoms in the lumbosacral region and pelvis during pregnancy and after childbirth. J Manipulative Physiol Ther. 2010;33(5):370-7. doi: 10.1016/j.jmpt.2010.05.006

Soleimanifar M, Karimi N, Arab AM. Association between composites of selected motion palpation and pain provocation tests for sacroiliac joint disorders. J Bodyw Mov Ther. 2017;21(2):240-5. doi: 10.1016/j.jbmt.2016.06.003

Wiles MR. Reproducibility and interexaminer correlation of motion palpation findings of the sacroiliac joints. J Can Chiropr Assoc [Internet]. 1980 [citado 2021 June 12];24(2):59. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2484169/

Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Review of Neurotherapeutics. 2013;13(1):99-116. doi: 10.1586/ern.12.148

Raja S, Carr D, Cohen M. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-82. doi: 10.1097/j.pain.0000000000001939

Cholewicki J, Breen A, Popovich Jr JM, Reeves NP, Sahrmann SA, Van Dillen LR, et al. Can biomechanics research lead to more effective treatment of low back pain? A point-counterpoint debate. J Orthop Sports Phys Ther. 2019;49(6):425-36. doi: 10.2519/jospt.2019.8825

Published

2023-09-06